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WILFRED STOUT, PAC
PAC
Physician Assistant
NPI: 1548669955IndividualAccepts Medicare
Specialties, Licenses & Credentials
Surgical Physician Assistant
Physician Assistant — Surgical
Code: 363AS0400X
11732(MN)3442-23(WI)
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
3442(WI)11732(MN)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082 - Phone
- (651) 439-8807
Quick Facts
- NPI
- 1548669955
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 1
- Years in Practice
- 12
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